HomeMy WebLinkAbout2010-00899 - windows � � z CITY OF ORONO PERMIT NO.: 2010-00899
2750 KELLEY PARKWAY
ORONO, MN 55356- �ATE ►ssuE�: 10/22/2010
952 249-4600 FAX: 952 249-4616
ADDRESS : 3403 EASTLAKE ST
PlN : OS-117-23-14-0060
LEGAL DESC : BAYSIDE ADDN TO LAKE MINNETONK
: LOT 001 BLOCK 008
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTIOIY TYPE : WINDOWS
ACTIVITY : O/S BUILDING - UNDEFINED
VALUATION : $ 1,800.00
NO"CE: RF,PLACE PA"I'IO DOOR.BEDROOM WINDOW AND KI"1'CI IEN WINDOW -NGW OPF.NINGS PRAMING INSPGC"I�ION
REQUIRGD
APPLICANT
PERMIT FEE SCHEDULE 67.25
WHITMORE, KAYLEN STATE SURCHARGE(VALUATION) 5.00
3403 EASTLAKE ST
LONG LAKE,MN 55356- MAIL-IN FEE 2.00
TOT.AL 74.25
OWIVER
WHITMORE, KAYLEN
3403 EASTLAKE ST
LONG LAKE, MN 55356-
ACREEMENT AND SWORN STATEMENT
The�+�ork for which this permit is issucd shall bc performed accordina to
the approved plans and specifications,applicable City approvals_and ihe
State l3uilding Code. This permit is for only the work described and docs
not grant permission for additional or related work which requires separate
pemiits. All provisions ot'laws and ordinances goveming this type ofwork
shall be compied with whether or not specificd herein.This permit will
eapire and become null and void if construction authorized is not
commenced�vithin 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time atter work has commenced.
The applicant is responsible for assurinb all required inspections are
requested in confonnance with the Stat� uilding Code.This permit may be
revok� any time � r duc c s�.
��`��� /�/o�--�(�
pplica crmitec Signature Date ssue y Signature � Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBECI ABOVE.
�e'd �d101
' � � City of Orono
Buiiding Permit Application for Internal Work
(windows, doors, siding, re-roof, etc.)
Meiling Address: Permlt number: �� �G'—� � /
Og,�,j�O PO Box 66 /
Crystal Bay, MN 55323-00BB Date re�eived: ��`f!�o
� �. Street Addiess: Received by:
2750 Kelley Parkway Plan review fee:
ly��e��,�� Orono, MN 55356 �
Total'Fee: � �� ��
Main: 952-248-4600 Fax: 952-249-4616 www.ci.orono.mn.us
This application form must be completed in full and all required information must be submitted_
Incomplete applications will be returned. (P/ease print)
GENERAL INFORMATION:
Job Slte Addresa: �.� S1� G�"�� �T �/��/✓� SS�`5 6
Will this be a Parade of Homes, Remodelers Showcase Home or ather Display Home? Yes No
If yes,a s�aciel event permit is►squirsd with Police Department end C/ty Councll approval BO days prfor to the evenk Shutt�e bus seroice will be
requl�d un/ess applicant demons6at�s sufficient on-sifs perking is aveila6le. Non-pe►mifted evenfs will qot be ellowed.
CONTRACTOR/APPLICANT I FORMATI�N:
Name:
State License# Expiration Date:
Phane: (ofFce) (cell)
Mailing Address: City; ZIP:
Contact Person; Applicant is: Contractor / Homeowner rci�ie o�e�
Email and/or Fax�
PROPERTY OWNER INFORMATION:
Name: /��f"yG�ir/ ly��T���//��
Phone(day)_ /-2 /- O 6
Address: O T Ci O�O�A ZIP:�ST`�6
Email and/or Fax T/�'!f}� i'+7
PROJECT INF�RMATION:
Type of Project: Any earth movement may requlre
MCWD review 8 permits
�Door(s) ❑ Remodel ❑Water Damage �
Minnehaha Creek Watershed Dfstrict(MCWD)
�Window(s) ❑Repair ❑Storm Damage 18202 Minnetonka Blvd
Deephaven, MN 55391
❑Siding ❑Restoration ❑Other: (specify) Phone: 952-471-0590
Fax: 952-471-0B82
❑ Re-roof ❑ Fire Damage www.minnehahacreek.ors7
Overall Pro�ect Descrlption: �pG✓�CE�i�lio c�,e;RF'ol.�GE�y,�rS7�i��•R• f'�/ h�`✓i�l.'¢�
Estimated Construction Vatuation of Project(excluding land� $/ Do s- � i �'��, �/.
7Ts=rl��i�i4�/i�,vv I'��.f
APPLICANT ACKNOWLEDGEM�NT: '1�0 �������
. Agrees to provide all information required or requested by the Buflding Department;
. Certifies that the infnrmation supplied Is true and correet to the best of hisJher knowledge_ The applicant recognlies that they
are solely responsible for submitting a complete apPfication being aware that upon failure to do so, the staff hes no alternative
but to reject it until it is complete;
• Some or all of the informetion that you are asked to provide on this application is Gassified by State lew as eiiher private or
confidential_ Prlvate data Is lnformation which generally cannot be given to the public but can be given to the subJect of the
data. Confidentlal date is Information which'generally cannot be given to either the public or the subJed of the dete, Our
purpose and intended use of this information is to ennuatly update our records and records of other governmental agencies
re uired b law. If ou refuse to su 1 tlie Informetion the a lication ma not be issued.
�
Applicant's Signature: Date: 9 �-�- �a
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ti0iT0'd aS:6Z 966ti-Zz-H3�
�% — " DATE TIM��
CITY OF ORONO CALLED IN
INSPECTION NOTICE��9q SCHEDULED / _ – � `Qa
PERMIT NO.o2010��COMPLETED
ADDRESS �TQ� ���`� S�
OWNER Ll�1-��`t�'12 TELEPHONE NO.��Z �6� ���
CONTRACTOR [;Ll.���1—
� DESCRIPTION �����-
�
� ❑ FOOTING ❑ PLUMBING FIN ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS
� ❑ FRAMING ❑ MECHANICAL FINAL
O ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W�,�WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. �952� 24Q-46�0
Owner/Contractor on sitet
Inspector. �/ `'� � �-, i�`J
White Copyllnspector's Fiie Canary CopylSite Notice